NPI | 1346868320 |
---|---|
Former Name | PAOLA ANDREA MONTOYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11007865) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11007865) |
Enumeration Date | 2020-07-07 |
Last Update Date | 2025-06-30 |